Certified Medical Billing Coding Specialist

Moore OBGYN; Forestville (MD); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

401(k)

Dental insurance

Health insurance

Paid time off

Vision insurance

Job summary

A healthcare organization in Forestville, Maryland, is seeking an experienced Certified Medical Billing & Coding Specialist to join their team. The ideal candidate should have strong OB/GYN coding knowledge and payer compliance expertise, with a minimum of 5 years medical billing/coding experience. The role involves accurate coding, claims management, and ensuring compliance with payer policies. Competitive compensation will be provided based on experience.

Qualifications

• Minimum 5 years medical billing/coding experience.
• OB/GYN experience strongly preferred.
• Knowledge of CMS-1500 claims.
• Strong understanding of Medicaid and MCO billing guidelines.
• Strong understanding of Medicaid and MD/DC payer billing guidelines.
• Excellent communication and problem-solving skills.

Responsibilities

• Accurate CPT, ICD-10, and HCPCS coding with an OB/GYN focus.
• Review and submission of claims for commercial, Medicaid MCOs MD/DC.
• Manage denials, appeals, and accounts receivable follow-up.
• Verify patient eligibility and benefits.
• Ensure compliance with payer policies.
• Work within EMR/PM system.
• Apply appropriate modifiers and monitor payer updates.
• Monitor payer updates and policy changes.

Skills

OB/GYN coding knowledge

Payer compliance expertise

Account receivable management

Excellent communication skills

Problem-solving skills

Education

CPC, CCS, or equivalent certification

Tools

EMR/PM system familiarity

Job description

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Moore OB/GYN is seeking an experienced and detail-oriented Certified Medical Billing & Coding Specialist to join our growing team. The ideal candidate will have strong OB/GYN coding knowledge, payer compliance expertise, and the ability to manage accounts receivable efficiently.

🔹 Position: Certified Medical Biller/Coder 🔹 Employment Type: Full-Time 🔹 Location: Forestville – Maryland

Key Responsibilities:

• Accurate CPT, ICD-10, and HCPCS coding (OB/GYN focus)
• Review and submission of claims (commercial, Medicaid MCOs MD/DC )
• Manage denials, appeals, and AR follow-up
• Verify patient eligibility and benefits
• Ensure compliance with payer policies (UHC, CareFirst, JHHP, MD/DC Medicaid, etc.)
• Work within EMR/PM system
• Apply appropriate modifiers (25, 59, 51, etc.)
• Monitor payer updates and policy changes

Qualifications:

• CPC, CCS, or equivalent certification (Required)
• Minimum 5 years medical billing/coding experience
• OB/GYN experience strongly preferred
• Knowledge of CMS-1500 claims
• Strong understanding of Medicaid and MCO billing guidelines
• Excellent communication and problem-solving skills

Preferred Skills:

• Experience with ultrasound and preventive + problem visit coding
• Familiarity with AR workflow optimization
• Knowledge of Maryland/DC payer compliance

💼 Competitive compensation based on experience.

Join a team committed to excellence in women’s healthcare!